Amy Sue Braaksma, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NUR-APRN-LIC-126846 Issued in MT

Practice address

931 Highland Blvd Ste 3360
Bozeman, MT 59715-6914

Phone

(406) 587-4242

Fax

(406) 587-3507

NPI assigned

Aug 1, 2017

Last updated

Jul 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apricity Medical PLLCGroup PAC ID 1254868318, 5 clinicians

Ruby Valley HospitalGroup PAC ID 6406764018, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ruby Valley Medical Center Hospital, Sheridan, MT, CCN 271319
• Livingston Healthcare Hospital, Livingston, MT, CCN 271317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apricity Medical PLLC

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1851126999
  Medicare reassignment Care Compare group NPD
• Ruby Valley Hospital

  dba Ruby Valley Medical Center

  • Critical Access Hospital
  • Sheridan, MT
  • NPI 1083710651
  Medicare reassignment NPD
• Ruby Valley Hospital

  dba Ruby Valley Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Sheridan, MT
  • NPI 1174668164
  Medicare reassignment NPD
• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  NPD (past)
• Ruby Valley Hospital

  dba Ruby Valley Medical Center

  • Rural Health Clinic/Center
  • Twin Bridges, MT
  • NPI 1336284264
  NPD (past)
• Ruby Valley Hospital

  dba Ruby Valley Medical Center

  • Rural Health Clinic/Center
  • Sheridan, MT
  • NPI 1962547653
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Livingston Healthcare

  dba LHC Shields Valley Therapy

  • Rehabilitation Clinic/Center
  • Wilsall, MT
  • NPI 1124660279

  Hospital

  Care Compare affiliation
• Livingston Healthcare

  dba Livingston HealthCare Gardiner

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375

  Hospital

  Care Compare affiliation
• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  Care Compare affiliation
• Livingston Healthcare

  dba Livingston HealthCare Sleep Center

  • Clinic/Center
  • Livingston, MT
  • NPI 1902448897

  Hospital

  Care Compare affiliation
• Ruby Valley Hospital

  dba Ruby Valley Medical Center

  • Critical Access Hospital
  • Sheridan, MT
  • NPI 1083710651
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1679097638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3360",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156914",
            "telephone_number": "406-587-4242",
            "fax_number": "406-587-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3360",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156914",
            "telephone_number": "406-587-4242",
            "fax_number": "406-587-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAKSMA",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-126846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bozeman Urological Associates
• Bozeman Wellness and Health LLC (Bozeman Birth Center)
• Bozeman Wellness Center
• Bozeman Wellness Counseling PLLC
• Jessica Bozman, LCSW
• Erin Braaksma, MSW, SWLC
• Tyler J. Bradford, MD
• Elena Bradley
• Suellen Bradley, RN, MSN
• Braided Water Therapy LLC

• Nurse Practitioner in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.